description: Claimresponse profile for use in the different eAgreement flows from MyCareNet.
package_name: rs/hl7.fhir.be.mycarenet
derivation: constraint
name: BeMyCareNetEagreementClaimResponse
type: ClaimResponse
elements:
  patient:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-patient']
    index: 13
  requestor:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization', 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitioner', 'https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-practitionerrole']
    index: 16
    elements:
      reference: {index: 17}
    required: [reference]
  meta:
    mustSupport: true
    index: 1
    elements:
      profile: {index: 2}
    required: [profile]
  preAuthRef: {mustSupport: true, index: 19}
  use: {mustSupport: true, index: 12}
  item:
    elements:
      adjudication:
        mustSupport: true
        index: 22
        elements:
          category:
            elements:
              coding:
                index: 23
                elements:
                  system:
                    pattern: {type: uri, value: 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/decision-values'}
                    type: uri
                    index: 24
                  code: {index: 25}
                required: [code, system]
            required: [coding]
          reason:
            elements:
              coding:
                binding: {strength: extensible, valueSet: 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/eagreementadjudicationreason'}
                index: 26
                elements:
                  system: {index: 27}
                  code: {index: 28}
                required: [code, system]
            required: [coding]
  type:
    mustSupport: true
    index: 4
    elements:
      coding:
        index: 5
        elements:
          system: {index: 6}
          code: {index: 7}
        required: [code, system]
    required: [coding]
  created: {mustSupport: true, index: 14}
  preAuthPeriod:
    mustSupport: true
    index: 20
    elements:
      start: {index: 21}
    required: [start]
  outcome: {mustSupport: true, index: 18}
  insurer:
    type: Reference
    mustSupport: true
    refers: ['https://www.ehealth.fgov.be/standards/fhir/core/StructureDefinition/be-organization']
    index: 15
  status: {mustSupport: true, index: 3}
  id: {mustSupport: true, index: 0}
  subType:
    mustSupport: true
    index: 8
    elements:
      coding:
        index: 9
        elements:
          system:
            pattern: {type: uri, value: 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/CodeSystem/agreement-types'}
            type: uri
            index: 10
          code: {index: 11}
        required: [code, system]
    required: [coding]
  addItem:
    mustSupport: true
    index: 29
    elements:
      itemSequence: {mustSupport: true, index: 30}
      productOrService:
        binding: {strength: extensible, valueSet: 'https://www.ehealth.fgov.be/standards/fhir/mycarenet/ValueSet/eagreementproductorservice'}
        index: 31
        elements:
          coding:
            index: 32
            elements:
              system: {index: 33}
              code: {index: 34}
            required: [code, system]
        required: [coding]
      adjudication: {mustSupport: true, index: 35}
    required: [itemSequence]
package_version: 2.0.0
class: profile
kind: resource
url: https://www.ehealth.fgov.be/standards/fhir/mycarenet/StructureDefinition/be-eagreementclaimresponse
base: http://hl7.org/fhir/StructureDefinition/ClaimResponse
version: 2.0.0
required: [id, meta, preAuthRef, requestor, subType]